Informatics
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Transcript of Informatics
How Technology and Informatics Has Influenced
Nursing Practice
Madeline Gervase RN,MSN,CCRN,FNP
Advanced Practice Nurse
Objectives:• Identify the role of informatics in nursing.
• Identify the current uses of technology and how technology will affect clinical practice.
• Understand the advantages and disadvantages of using technology.
• Demonstrate an understanding to the techniques and tools used to protect client confidentiality in practice.
Informatics
• The science of information
Skills nurses need related to informatics & technology
• Use information & communication technology to document & evaluate patient care, advance patient education, & enhance the accessibility of care
• Use appropriate technology to assess & monitor patients
• Work on an interdisciplinary team to make ethical decisions regarding the application of technologies & the acquisition of data
Nursing Skills:
• Adapt the use of technologies to meet patient needs
• Teach patients about health care technologies
• Protect the safety & privacy of patients in relation to the use of health care & information technologies
• Use information technologies to enhance one’s own knowledge base
International Medical Informatics Association
• Forty-one recommendations for using informatics in health care delivery
• Identified 313 competencies for nurses with various levels of education & practice responsibilities
IMIA
www.imia.org
• Two specialized areas for development:
• Informatics and healthcare delivery
• Specialists design software & create integrated information systems for health care delivery
IMIA Nursing Evaluation Novice Nurse Competency:
• Novice nurse: use of administrative application, telecommunication devices, e-mail, database management program, client care devices, & the Internet while being able to find resources to address ethical decision making related to computing
Seasoned Nurse Competency:
• Experienced nurse: same as the beginner with the addition of ability to use diagnostic coding application, evaluate computerized assisted instruction programs, integrate selected resources into client record, & evaluate accuracy of health care information found on the Internet
IMIA Competencies for the Nursing Informatics Specialist
• Graduate education
• Able to integrate established technologies into clinical practice
IMIA Competencies for the Nursing Informatics Innovator
• Doctorate Degree• Designs and develops new technological
systems, techniques, & conceptual models for databases
• Evaluates safety, effectiveness, cost, & social impacts of technological systems
• Researches & develops theoretical foundations for the specialty
Components of an Integrated Delivery System (IMIA, 1999)
• Hyperlinks to the latest information for client care
• Nursing care planning programs
• Specific client teaching materials
• On-line clinical practice manuals with evidence-based nursing care protocols
• Data collection for best health care practices
• Client billing systems
• Health care insurance reimbursement programs
Informatics & Technology in Client Care
• Handheld monitors
• (e.g., pulse oximetry & peripheral blood glucose monitors)
• Wireless technology with automatic nurse paging capability when client measurements fall outside of normal parameters
Technology & Informatics inClient Care :
• Computerized clinical decision-making programs
• Nurse personal digital assistants• Care-planning software programs• Handheld clinical resource information
devices• Intravenous pumps for medication
delivery
Informatics & Technology in Record Keeping
• Financial reimbursement applications for services rendered
• Nursing documentation systems: CERNER
• Integrated health record systems to denote past medical history & allergies
• Electronic health records
Informatics & Technology in Communication
• Wireless telephone systems
• Wireless paging systems
• Alphanumeric paging systems
• Handheld computers to record & receive client information
Components of a Health Information System Currently
Used by Health Care Institutions
Current uses of Informatics Applications in Healthcare:
• Admission, discharge, & transfer
• Patient Access Record
• Financial parameters
• Physician order entry
• Ancillary department
• Documentation
Informatics Applications in Healthcare:
• Scheduling
• Pharmacy preparation
• Acuity criteria
• Specialty practice
• Decision support
• Communication
• Critical pathways
The Nursing Informatics Specialist Responsibilities
• Create systems to maximize the efficiency of information use & computer technology for clinical practice
• Develop software programs to support nurses as they deliver client care
• Keep software management updated & educate staff on its use & changes
Education for the Nursing Informatics Specialist
• Thorough understanding of clinical practice
• Detailed computer expertise
• ANA certification in nursing informatics
• Graduate nursing education programs in nursing informatics are available
Role of the Nursing Informatics Specialist in Technological & Health
Care Development• Contribute specialized nursing knowledge to
systems
• Develop software programs & computer systems that facilitate nursing care delivery
• Field test software programs
• Verify that systems (hardware & software) address critical nursing considerations
Technological Influences to Health Care
• In the late 1950s & early 1960s, businesses used computers for financial record management
• Medicare & Medicaid require data for governmental reimbursement for rendered services
Technology Influences:
• In 1968, Lawrence Weed developed the Weed Problem Oriented Medical Record Information System, the first computerized system for client care at the University of Vermont Medical Center
Technological Changes to Nursing & Health Care
• LifeView Care Station for virtual house calls
• Telehealth• Genetic advances in health promotion,
disease prevention, & illness treatment• Stem cell research• On-line educational options
Challenges of Managing Health-Related Informatics & Technology
• Confidentiality of client health information
• Ethics related to new therapies
• Evaluating the quality of information
• Information security
• Potential health & personal problems from too much technology
Our Future:
• Technological advances are advantageous only if nurses find them useful & learn how to use them
• Nurses may tend to focus on machinery rather than persons in the future
• Information overload
The Future of Healthcare:
• Keeping institutional & personal systems updated
• Impact of being dependent on electrical or other sources of power to run equipment
• Optical technology or other invasive methods to confirm identity
Computer Networks
• Local area network (LAN)
• Wide area network (WAN)
• Internet Service Provider (ISP)
• Group e-mail or list servers (Listserv)
• Electronic publishing (e-books & on-line journals)
Access Information Requirements:
• Accurate typing skills & knowledge of an exact website or e-mail address
• Internet server provider• A website is a series of pages posted on
the Internet• Website addresses denote the type of
server• Professional chat rooms
Thank you!